Alyx Nicole Miller

Individual provider Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · Stewartstown, PA

NPI 1972183663 · NPPES record last updated Apr 8, 2021

Key facts

NPI
1972183663
Entity type
Individual (NPI type 1)
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
License
RTO000460 (PA)
Practice address
14208 Hyson School Rd
Stewartstown, PA 17363-9503
Phone
(717) 586-4336
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RTO000460PAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X RTO000460 PA Yes

Addresses

Primary practice location

14208 Hyson School Rd
Stewartstown, PA 17363-9503

Mailing address

14208 Hyson School Rd
Stewartstown, PA 17363-9503

Other providers in Stewartstown, PA

All providers in Stewartstown, PA · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.